GENERAL DEPARTMENT OF CUSTOMS AND EXCISE
Sex Male / Female
Date of Birth
Goods to declare / Nothing to declare
If you have goods to declare please list them on the reverse side.
You are carrying foreign currency or monetary instruments over $10,000U.S. or its equivalent.
I certify that all statements on this declaration are true and correct.
Date Day Month Year
If you have any question, please ask a customs officer.
- Cambodia Customs Table